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Seo, Kim, Lee, and Lee: Anterior Uveitis and Keratitis in Takayasu's Arteritis
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(10): 1528-1531.

Published online: 17 October 2012

DOI: https://doi.org/10.3341/jkos.2012.53.10.1528

Anterior Uveitis and Keratitis in Takayasu's Arteritis

Hae Won Seo, MD, Jin Hyoung Kim, MD, PhD, Do Hyung Lee, MD, PhD, Jong Hyun Lee, MD, PhD

Department of Ophthalmology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea.

Address reprint requests to Jong Hyun Lee, MD, PhD. Department of Ophthalmology, Inje University Ilsan Paik Hospital, #170 Juhwa-ro, Ilsanseo-gu, Goyang 411-760, Korea. Tel: 82-31-910-7240, Fax: 82-31-911-7241, ophtha@naver.com

Received 24 February 2012       Accepted 25 August 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To report a rare case of simultaneous uveitis and keratitis in Takayasu's arteritis.

Case summary

A 22-year-old woman presented with complaints of redness and decrease in vision in both eyes. The patient was diagnosed a decade earlier as having Takayasu's arteritis. No other systemic or ophthalmic abnormalities were found. She complained of ophthalmic symptom aggravation during an upper respiratory infections and before menstruation. Bilateral corneal edema, conjunctival injection, and anterior uveitis were observed on slit-lamp examination. Concurrent treatments were started in consultation with an internist. Steroid eye drop and steroid systemic administration relieved the ocular pain and symptoms.

Conclusions

When a patient presents with recurrent red eyes and visual disturbances with Takayasu's ateritis, simultaneous uveitis and keratitis due to Takayasu's arteritis should be considered as a possible diagnosis.

Keywords: Anterior uveitis, Keratitis, Takayasu's arteritis

Figures and Tables

Figure 1
Twenty two years old female with Takayasu's disease, showing edematous cornea (A) and conjunctival injection (B)(Left eye).
jkos-53-1528-g001
Figure 2
Fundus photographs taken at the initial visit. The right eye (A) looks clean than the left eye (B) due to corneal edema and uveitis.
jkos-53-1528-g002
Figure 3
(A) Three-dimensional image of the heart and the aorta shows aneurysmal dilatation, proximal abdominal aorta. (B) Anterior part photograph shows clear cornea and conjunctiva (Left eye). (C) Fundus photograph taken at 2 weeks later. The image is much clear than 2 weeks ago.
jkos-53-1528-g003

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